Computed tomography after modified Whipple procedure with pancreatic duct occlusion.
Eighty-two CT examinations performed on 28 patients who had undergone a modified Whipple procedure including pancreatic duct occlusion were reviewed. Reduction of the antero-posterior diameter of the body and tail of the pancreatic remnant was observed on consecutive scans in 8 patients (29%). Decreasing liver attenuation was seen in 4 patients (14%) postoperatively, and pseudocysts in the pancreatic remnant in 6 (21%). In 10 examinations performed because of suspected intraabdominal abscess postoperatively, abscess was diagnosed in 2 patients. In 62 routine follow-up CT examinations, significant positive findings were diagnosed in 5 patients: tumor recurrence or metastases in 4, and a large pseudocyst in one. CT is of value in the early postoperative phase to reveal postoperative complications and in the follow-up of patients with specific symptoms indicating tumor recurrence or metastases.
Abildgaard
A
A
Department of Radiology, National Hospital, Oslo, Norway.
Kolmannskog
F
F
Mathisen
O
O
Bergan
A
A
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004386:Duodenum / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006500:Hepatic Duct, Common / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009387:Neoprene; D010180:Pancreatectomy; D010183:Pancreatic Ducts; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D013270:Stomach / Q000601:surgery; D014057:Tomography, X-Ray Computed
D009387:Neoprene